title: Unique presentation of Twiddler's syndrome.
abstract: We present a rare case of Twiddler's syndrome diagnosed in an asymptomatic patient on a routine follow up. This case reiterates the need for frequent monitoring of the implanted device. In addition, it was detected 4 years after implantation of an automatic implantable cardioverter defibrillator. This late representation is extremely uncommon.
authors.affiliation: Valay Parikh, Emad A Barsoum, Rewais Morcus, Department of Medicine, Staten Island University Hospital, Staten Island, NY 10305, United States.
authors.forename: Valay
authors.initials: V
authors.lastname: Parikh
authors.forename: Emad A
authors.initials: EA
authors.lastname: Barsoum
authors.forename: Rewais
authors.initials: R
authors.lastname: Morcus
authors.forename: Basem
authors.initials: B
authors.lastname: Azab
authors.forename: James
authors.initials: J
authors.lastname: Lafferty
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Kohn
keywords: Complication; Defibrillator; Lead dislodgement; Malfunction; Twiddler’s syndrome